Individual provider Active NPI

Lourdes Saldi Pahuriray, APN

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1801905575
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN000903 Issued in NV
Practice address
4100 W Flamingo Rd
Suite 2100
Las Vegas, NV 89103-3924
Phone
(702) 822-5000
Fax
(702) 822-5001
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000903 NV Primary

Addresses

Primary practice location

4100 W Flamingo Rd
Suite 2100
Las Vegas, NV 89103-3924

Mailing address

4100 W Flamingo Rd
Suite 2100
Las Vegas, NV 89103-3924
Phone (702) 822-5000

Other identifiers 1

IdentifierTypeStateIssuer
PENDING IN PROCESSMedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000738 NV Practitioner - Nurse Practitioner 0840378311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN000903NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince May 13, 2024 Accepting new patients
Premise Health of Nevada Medical Hinitt P C Current Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 733-0981

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1801905575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD",
            "address_2": "SUITE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033924",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD",
            "address_2": "SUITE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033924",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHURIRAY",
        "first_name": "LOURDES",
        "middle_name": "SALDI",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING IN PROCESS",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.